腹腔镜下全腹膜外腹股沟疝修补术的临床应用  

Clinical Applications of Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair

作　　者：叶进军[1] 李德宁[1] 阎玉矿[1] 

机构地区：[1]深圳市龙岗中心医院普外科,广东深圳518116

出　　处：《中国医药指南》2013年第5期46-48,共3页Guide of China Medicine

摘　　要：目的以开放性手术为对照,探讨腹腔镜下全腹膜外腹股沟疝修补术的治疗效果。方法研究组患者40例,采用腹腔镜下完全腹膜外腹股沟疝修补手术(TEP);对照组患者40例,采用开放式TEP。分别观察和记录两组患者手术基本情况和术后并发症情况。结果研究组患者平均手术时间、平均住院时间、恢复正常活动时间均明显短于对照组,数据经统计学比较具有显著差异(P<0.05);研究组患者术后平均镇痛次数、尿潴留发生率和术后复发率均明显低于对照组,数据经统计学比较具有显著差异(P<0.05)。研究组患者术后并发症主要表现为腹股沟位置疼痛、血清肿或血肿、切口感染等,对照组还发生阴囊水肿、缺血性睾丸炎、神经感染异常,研究组患者术后并发症发生率明显低于对照组,数据经统计学比较具有显著差异(P<0.05)。结论腹腔镜下全腹膜外腹股沟疝修补术具有更好的临床治疗效果,可提高治疗和患者康复速度,降低临床痛苦,减少并发症和复发率,便于从身心双方面大大提高患者的生活质量。Objective To open surgery as the control to explore the therapeutic effects of laparoscopic totally extraperitoneal inguinal hernia repair surgery.Methods The study group patients with 40 cases of laparoscopic totally extraperitoneal inguinal hernia repair surgery（TEP）;control group of 40 patients,open the TEP.Were observed and recorded two groups of patients with surgery and postoperative complications.Results The mean operative time of the study group patients,average length of stay,return to normal activity time was significantly shorter than the control group,data were statistically significant differences（P0.05）;study group patients after the average pain frequency,urinary retentionthe incidence and recurrence rate was significantly lower than the control group,the data were statistically significant differences（P0.05）.Postoperative complications in the study group mainly for the location of groin pain,seroma or hematoma,wound infection,etc.,the control group,scrotal edema occurred,ischemic orchitis nerve infection exception,the study group patients with postoperative complication rate was significantly lowerin the control group,data were statistically significant differences（P0.05）.Conclusions Laparoscopic totally extraperitoneal inguinal hernia repair with better clinical outcomes,can improve the speed of treatment and rehabilitation of patients with lower clinical pain,reduce complications and relapse rate,and easy from both sides of the body and mind greatly improve the patient＇s quality of life.

关 键 词：腹腔镜 全腹膜 腹股沟疝 修补手术 

分 类 号：R656.21[医药卫生—外科学]